Provider Demographics
NPI:1346450046
Name:VALLEY HOSPITAL DOCTORS, PLLC
Entity Type:Organization
Organization Name:VALLEY HOSPITAL DOCTORS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MOHME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-994-0026
Mailing Address - Street 1:4949 SOUTH JACKSON STE F
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7228
Mailing Address - Country:US
Mailing Address - Phone:956-994-3771
Mailing Address - Fax:956-994-9082
Practice Address - Street 1:4949 S JACKSON STE F
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7228
Practice Address - Country:US
Practice Address - Phone:956-994-3777
Practice Address - Fax:956-994-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2012-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID